DR. HAVISHA PEDAMALLU MD, MPH
NPI 1356010359
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since September 13, 2021PECOS Enrolled
1010 DELAFIELD RD, PITTSBURGH, PA 15215(412) 648-9636 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, May 9, 2025, Sep 13, 2021 (3 updates tracked since 2021).

About Dr. Havisha Pedamallu Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HAVISHA PEDAMALLU MD, MPH (NPI 1356010359) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356010359
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. HAVISHA PEDAMALLUCredential: MD, MPH
Location Address1010 DELAFIELD RDPittsburgh, PA 15215-1802
Mailing Address3600 Forbes AvePittsburgh, PA 15213-3410
Sole ProprietorYes
Enumeration DateSeptember 13, 2021
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1356010359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1010 DELAFIELD RD, Pittsburgh, PA 15215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Havisha Pedamallu Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Occupational Therapist
1010 DELAFIELD RD, VAPHS, REHAB DEPT.
PITTSBURGH, PA 15215
Internal Medicine
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Music Therapist
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Registered Nurse (Psychiatric/Mental Health)
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Psychologist (Clinical)
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Student in an Organized Health Care Education/Training Program
1010 DELAFIELD RD
PITTSBURGH, PA 15215
Psychiatric Residential Treatment Facility
1010 DELAFIELD RD
PITTSBURGH, PA 15215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havisha Pedamallu's NPI number?

The NPI number for Havisha Pedamallu is 1356010359. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Havisha Pedamallu located?

Havisha Pedamallu practices at 1010 Delafield Rd, Pittsburgh, PA 15215. The listed phone number is (412) 648-9636.

What is Havisha Pedamallu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Havisha Pedamallu enrolled in Medicare?

Yes. Havisha Pedamallu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Havisha Pedamallu was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.